| NPI | 1558923672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEESHA HOLDEN-WHITE Owner/Nurse Practitioner 443-944-9245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2026-04-22 |